RecruitingNot ApplicableNCT05220709

Bio Impedance Monitoring as a Tool to Assess Fluid Status in the Pediatric Surgical Patient? (PedFluid Study)

Bio Impedance Monitoring as a Tool to Assess Fluid Status in the Pediatric Surgical Patient: Can we Measure a Fluid Shift


Sponsor

University Hospital, Antwerp

Enrollment

100 participants

Start Date

Apr 5, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

The baseline infusion rate during surgery for pediatric patients still is the 'Holliday and Segar' rule (also known as the 4/2/1 rule) The question arises if this rule is not outdated, since it was calculated based on the caloric need of the pediatric population, calculated for cow milk. The study tends to validate the use of bio impedance measurements for registering fluid shifts in the pediatric surgical patients.


Eligibility

Min Age: 1 MonthMax Age: 16 Years

Inclusion Criteria2

  • Scheduled for elective surgery or investigation under general anesthesia
  • Day care or inpatient hospitalisation

Exclusion Criteria4

  • If sedation is needed instead of general anesthesia
  • Critically ill patients for urgent surgery
  • Patients who cannot lie still for performing correct measurements on the bio impedance monitor
  • No informed consent obtained

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Interventions

DIAGNOSTIC_TESTbio impedance spectroscopy by means of the Body Composition Monitor (Name of the device is BCM from Fresenius Medical Care D GmbH)

The Body Composition Monitor provides information about the hydration status by a bioimpedance spectroscopy measurement of the body composition from which the level of overhydration can be derived. Four electrodes are used per measurement. All subjects get electrodes attached, following the wrist-ankle approach, in a tetrapolar arrangement. Two electrodes are placed on the hand: one on the wrist, and the second on the dorsal side of the metacarpalia, close to the phalanges. The other two electrodes are placed on the foot: one on the ankle, and the second on the dorsal side of the metatarsals, close to the phalanges of the toes. Age, gender, height, weight and blood pressure are registered in the device before starting the measurement. If the quality calculated by BCM is \< 60%, the measurement will be repeated again. Measurements are taken under supervision of a trained technician or nurse.


Locations(1)

Antwerp University Hospital

Edegem, Antwerp, Belgium

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NCT05220709


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